dealflow
envelope $200M

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Mcdonough District Hospital

Macomb, Mc Donough County, IL · CCN 140089
Licensed to Mcdonough County Hospital District

Composite
36.9
rank score
Distress
45
FY2024
Fit
42
vs thesis
Estimated ticket
$4.5M–$9.0M
45 beds · within envelope
Ownership
government
STH

Why it ranks here

  • operating margin -10% to -5%
  • total margin negative
  • occupancy below 30%
  • margin deteriorating sharply
  • rural — cheaper but limited density
  • small but workable bed count
  • very small ticket — sub-scale as a platform asset
  • very low occupancy — limited volume to learn from
  • government-owned — public process likely

Latest financials · FY2024

Net patient revenue$78.5M
Operating margin -6.5%
Total margin -1.1%
Days cash on hand 221
Current ratio 5.92
Occupancy21%

Facility

Beds45
Facility typeSTH
Settingrural
Ownership classgovernment
Per-bed (low) $100K
Per-bed (high) $200K

Financial history

FYBedsNet patient rev Net incomeOp margin Total marginDays cash Current ratioOccupancy DischargesDistress
2021 45 $70.1M $4.3M -0.1% 5.6% 206 1.74 20% 1,069 24
2022 45 $76.3M $10.3M -0.5% 11.7% 129 3.04 22% 1,110 29
2023 45 $79.6M $-46.7K -4.2% -0.1% 273 6.52 21% 1,063 32
2024 45 $78.5M $-916K -6.5% -1.1% 221 5.92 21% 1,035 45

Owners

OwnerRole%SinceType
Mcdonough County Hospital District
Macomb, IL
5% or greater direct ownership interest 100 2018-09
Sherri Hitchcock corporate officer 2025-02
Sherri Hitchcock w-2 managing employee 2025-02
William Murdock corporate officer 2019-04
William Murdock w-2 managing employee 2019-04

Ownership changes

No CMS ownership change on record since 2016 — this hospital has not traded in at least a decade.

Who has been buying in IL

Completed CMS ownership changes in this state. These buyers already cleared the licensure process here — and whoever advised them knows this market.

DateBuyerSellerHospitalBeds
2025-03-01 Saint Joseph Medical Center - Joliet Llc Presence Central And Suburban... Presence St. Joseph Medical Center 425
2025-03-01 St Marys Hospital - Kankakee Llc Presence Central And Suburban... Presence St. Marys Hospital 169
2025-03-01 Mercy Medical Center - Aurora Llc Presence Central And Suburban... Presence Mercy Medical Center 190
2025-03-01 Saint Joseph Hospital - Elgin Llc Presence Central And Suburban... Presence Saint Joseph Hospital Elgin 144
2025-03-01 Saint Francis Hospital - Evanston Llc Presence Chicago Hospitals Network Presence Saint Francis Hospital 146
2025-03-01 Resurrection Medical Center - Chicago Llc Presence Chicago Hospitals Network Presence Resurrection Medical Center 221
2025-03-01 Saint Mary Of Nazareth Hospital -... Presence Chicago Hospitals Network Presence Saints Mary & Elizabeth Med 296
2025-01-01 Osf Healthcare System Katherine Shaw Bethea Hospital Katherine Shaw Bethea Hospital 80
2023-03-01 American Healthcare Systems Illinois Llc Granite City Illinois Hospital Company Llc Gateway Regional 288
2023-01-14 Deaconess Illinois Crossroads Inc National Healthcare Of Mt Vernon Inc Crossroads Community Hospital 47
2023-01-14 Deaconess Regional Healthcare... Marion Hospital Corporation Heartland Regional Medical Center 94
2020-12-01 Advocate Health And Hospitals Corporation Advocate Health And Hospitals Corporation Advocate Southland Health Network 438
2020-07-01 Carle Bromenn Medical Center Advocate Health And Hospitals Corporation Carle Bromenn Medical Center 206
2020-02-01 Osf Healthcare System Little Company Of Mary Hospital Inc Little Company Of Mary 222
2019-10-01 Thorek Memorial Hospital Bethany Homes And Methodist Hospital Methodist Hospital Of Chicago 141